If we experience itching, it is an individual decision whether or not it needs treatment. If you itch just randomly, then likely it doesn't warrant any medication.
If, however, your quality of life is being impacted by experiencing it everyday or every night, then please speak with your doctor about treatment. I know for each of us it is surely a trial and error thing to find what works - if anything. It is up to each of us to make the decision to need any type of medication to help with the itch.
I know for me, the worst time was at night Things can always seem so much worse when you are alone and in the dark. I can remember all too vividly sitting on the side of my bed crying - asking God to make it stop.
Unless you've experienced it, no one knows what it is really like. I hope anyone feels they can ask here for suggestions to make their itching better. Or even just sharing your experiences can possibly help someone else know they are not alone.
Then, of course, there are always doctors who still don't believe that itching is even a 'thing' with PBC. Really?!